Employment status amongst those with psychosis at first presentation.
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| Title: | Employment status amongst those with psychosis at first presentation. |
|---|---|
| Authors: | Turner, Niall, Browne, Stephen, Clarke, Mary, Gervin, Maurice, Larkin, Conall, Waddington, John L., O'Callaghan, Eadbhard |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Oct2009, Vol. 44 Issue 10, p863-869. 7p. 4 Charts. |
| Subjects: | Psychoses, Employment, Labor supply, Early intervention (Education), Quality of life |
| Abstract: | Employment is generally beneficial to health and quality of life. Despite many advances in the treatment of psychosis there are continuing reports of high levels of unemployment. In most studies of first episode psychosis (FEP) only rudimentary rates of employment are provided. We sought to establish the prevalence of employment amongst those with FEP from a geographically defined area, to compare employment categories for differences in demographical and clinical characteristics and finally, to examine factors associated with employment. All cases of FEP were assessed from a defined suburban area with a structured clinical interview for DSM-III-R diagnosis and a standardised assessment protocol. Employment status was divided into employed, non-labour force work and unemployed. Of 162 cases of psychosis, those employed (46%) were indistinguishable from those in non-labour force work (21%). Those unemployed (33%) had significantly longer DUP, more negative symptoms and lower quality of life than those engaged in non-labour force work or those employed. Having a non-affective psychosis (χ2 = 0.05, OR = 1.2; 95% CI 1.0, 1.4) was associated with being unemployed at presentation. Better ( β = −0.2, P = 0.00) academic premorbid adjustment was associated with being employed at presentation. Although 67% of those with FEP from a geographically defined area are engaged in purposeful work, the rate of unemployment is nine times the local rate. Longer DUP and negative symptoms are associated with unemployment at presentation. Standardised reporting of employment status would greatly assist research in this area. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 44190294 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00127-009-0008-6 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 863 Subjects: – SubjectFull: Psychoses Type: general – SubjectFull: Employment Type: general – SubjectFull: Labor supply Type: general – SubjectFull: Early intervention (Education) Type: general – SubjectFull: Quality of life Type: general Titles: – TitleFull: Employment status amongst those with psychosis at first presentation. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Turner, Niall – PersonEntity: Name: NameFull: Browne, Stephen – PersonEntity: Name: NameFull: Clarke, Mary – PersonEntity: Name: NameFull: Gervin, Maurice – PersonEntity: Name: NameFull: Larkin, Conall – PersonEntity: Name: NameFull: Waddington, John L. – PersonEntity: Name: NameFull: O'Callaghan, Eadbhard IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2009 Type: published Y: 2009 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 44 – Type: issue Value: 10 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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